Active NPI
Bennett Jacob Oberg, D.O.
- Ophthalmology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0102202608
- Practice address
- Wramc BLDG 2 Department of Ophthalmology
Georgia Ave. NW
Washington, DC 20307-0001 - Phone
- (202) 782-3501
- NPI assigned
- Jun 25, 2008
- Last updated
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0102202608 | VA | Primary |
Addresses
Primary practice location
Wramc BLDG 2 Department of Ophthalmology
Georgia Ave. NW
Washington, DC 20307-0001
Mailing address
Wramc BLDG 2 RM 1F
Georgia Ave. NW
Washington, DC 20307-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1426 Mesa View Dr
Delta, CO 81416-2400
Phone (970) 874-8821
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.58 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Ophthalmology Assoc. PC | Ophthalmology | Current | Accepting new patients |
| Alpine Optical of Western Colorado LLC | Past | Accepting new patients |
Locations
1426 Mesa View Dr
Delta, CO 81416
Phone (970) 874-8821
1800 E Pavilion Pl
Unit B
Montrose, CO 81401
Phone (970) 249-1210
Interoperability endpoints
- boberg@cwoa.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Montrose, CO
- NPI 1639221674
-
- Eyewear Supplier
- Delta, CO
- NPI 1124393723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Montrose Regional Health
- General Acute Care Hospital
- Montrose, CO
- NPI 1205822186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1336301902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WRAMC BLDG 2 RM 1F",
"address_2": "GEORGIA AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRAMC BLDG 2 DEPARTMENT OF OPHTHALMOLOGY",
"address_2": "GEORGIA AVE. NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070001",
"telephone_number": "202-782-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERG",
"first_name": "BENNETT",
"middle_name": "JACOB",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0102202608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.